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General NPI Number Information
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NPI Number | 1891734950
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Entity Type | Individual
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Provider Name | LINDA IRENE SHIELDS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 10290 N 92ND ST #101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4522
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Country | US
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Telephone | 480-767-3100
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Fax | 480-767-3235
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Provider Business Mailing Address
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Address Line | 3707 N 7TH ST SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85014-5095
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Country | US
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Telephone | 602-264-9100
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Fax | 602-264-9101
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 15396
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License Number State | AZ
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